| Kimberly Everingham, OD | |
|
700 W Kent Ave, Missoula, MT 59801-6772 | |
| (406) 541-3804 | |
| (406) 541-1810 |
| Full Name | Kimberly Everingham |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 37 Years |
| Location | 700 W Kent Ave, Missoula, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841285111 | NPI | - | NPPES |
| 80722200 | Medicaid | ID | |
| 482469 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 542 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jec Llc | 3072918044 | 2 |
| Provider Name | Jec Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780274506 PECOS PAC ID: 3072918044 Enrollment ID: O20210830001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Everingham, OD Po Box 4907, 700 West Kent, Missoula, MT 59806-4907 Ph: (406) 541-3804 | Kimberly Everingham, OD 700 W Kent Ave, Missoula, MT 59801-6772 Ph: (406) 541-3804 |
Mark Wayne Mutter Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3937 Fax: 406-541-3811 | |
Thomas R Ferguson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2510 S Reserve St, Missoula, MT 59801 Phone: 406-721-5925 Fax: 406-721-3859 | |
Ty William Felton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2230 N Reserve St Ste 330, Missoula, MT 59808 Phone: 406-309-6633 Fax: 406-309-6644 | |
Peak Eye Care Missoula, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3220 N Reserve St, Missoula, MT 59808 Phone: 406-218-2730 Fax: 406-218-2731 | |
Dr. Kellie Marie Hadnot, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2106 Oxford St, Missoula, MT 59801 Phone: 406-549-2541 | |
Dr. Heidi Gail Brott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4000 Us Highway 93 S, Missoula, MT 59804 Phone: 406-251-3679 Fax: 406-251-3715 | |
Sandy Sheppard Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 South Ave W, Ste. G, Missoula, MT 59801 Phone: 406-549-4851 Fax: 406-549-8486 |